Goodwin, Della
Goodwin, Della is an individual health care provider with primary practice located at 440 E Tampa St , Springfield MO 65806-1131. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Goodwin, Della can be contacted via phone (417) 831-0150.Contact Information
Primary practice address
440 E Tampa St
Springfield MO 65806-1131
Phone: (417) 831-0150
Fax: (417) 831-0155
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 000639 | Missouri |
Profile Details
| NPI number | 1568468411 |
|---|---|
| LBN Legal business name | Goodwin, Della |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 24th, 2005 |
| Last updated | Oct 28th, 2009 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568468411 | NPPES |
| Missouri | MEDICAID | 493299036 |
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